Individual provider Active NPI

Dawn Marie Gadberry, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
National Provider Identifier
1982192068
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4671 Issued in KS
Practice address
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Phone
(620) 513-3422
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4671 KS Primary

Addresses

Primary practice location

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

Mailing address

309 S Burrton Ave
Burrton, KS 67020-8888
Phone (620) 931-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710003314 KS Practitioner - Clinical Social Worker 3779839410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians
Midwest Counseling Services, LLCGroup PAC ID 8123411709, 9 clinicians

Practice addresses (Care Compare)

2031 W 6TH Ave
Emporia, KS 66801-6464
Phone (620) 800-1010

2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone (316) 250-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4671KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Mental Health Counseling Center, Inc. Clinical CurrentSince Jun 26, 2018 Accepting new patients
Midwest Counseling Services, LLC Clinical CurrentSince May 23, 2024 Accepting new patients
South Central Mental Health Counseling Center, Inc. CurrentSince Dec 3, 2023 Accepting new patients

Locations

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

524 N Main St
El Dorado, KS 67042
Phone (316) 321-6036

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1982192068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S BURRTON AVE",
            "city": "BURRTON",
            "state": "KS",
            "postal_code": "670208888",
            "telephone_number": "620-931-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021105",
            "telephone_number": "620-513-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBERRY",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.